2018—2021年西藏自治区常住居民脑血管病死亡趋势  

Death trend of cerebrovascular diseases among permanent residents in Xizang Autonomous Region from 2018 to 2021

作　　者：平措卓玛[1] 嘎玛仓决[1] 白国霞[1] 王洪燕[2] 齐金蕾[2] Pingcuozhuoma;Gamacangjue;BAI Guoxia;WANG Hongyan;QI Jinlei(Xizang Autonomous Region Center for Disease Control and Prevention,Lhasa,Xizang Autonomous Region 850000,China;不详)

机构地区：[1]西藏自治区疾病预防控制中心,西藏拉萨850000 [2]中国疾病预防控制中心慢性非传染性疾病预防控制中心,北京100050

出　　处：《中国慢性病预防与控制》2024年第3期213-216,共4页Chinese Journal of Prevention and Control of Chronic Diseases

摘　　要：目的分析2018—2021年西藏自治区常住居民脑血管病死亡趋势及寿命损失,为西藏自治区脑血管病的防控提供参考依据。方法利用2018—2021年西藏自治区常住居民脑血管病死因监测数据,采用Excel 2010软件分别计算脑血管病的粗死亡率、漏报调整死亡率、标化死亡率、早死所致寿命损失年(YLL)等指标,采用Joinpoint 4.9.1.0回归模型分析变化趋势,计算平均年度变化百分比(AAPC)。结果2018—2021年,西藏自治区男性脑血管病粗死亡率均高于女性,差异均有统计学意义(P<0.05)。西藏自治区常住居民脑血管病标化死亡率从2018年的295.33/10万下降至2021年的188.44/10万,女性标化死亡率从2018年的256.44/10万下降至2021年的151.93/10万,趋势变化均有统计学意义(AAPC分别为-14.42%、-15.46%,P<0.05);男性脑血管病标化死亡率范围为243.20/10万~344.86/10万,趋势变化无统计学意义(AAPC=-12.66%,P>0.05)。2018—2021年,西藏自治区常住居民的脑血管病漏报调整死亡率范围为89.28/10万~117.09/10万,趋势无统计学意义(P>0.05)。各年份脑血管病漏报调整死亡率均随年龄增长而升高(P<0.05)。60岁及以上人群脑血管病漏报调整死亡率由2018年的1130.50/10万下降至2021年804.65/10万(AAPC=-11.56%,P<0.05)。2018—2021年,农牧区脑血管病漏报调整死亡率均高于城市,差异均有统计学意义(P<0.05)。农牧区脑血管病标化死亡率由2018年的325.18/10万降至2021年的202.00/10万,趋势变化有统计学意义(AAPC=-14.94%,P<0.05)。西藏自治区常住居民脑血管病的标化YLL率从2018年的6483.15/10万降至2021年的4080.40/10万,趋势变化有统计学意义(AAPC=-14.74%,P<0.05)。结论2018—2021年西藏自治区常住居民脑血管病标化死亡率呈下降趋势,疾病负担有所减轻,应针对重点人群加强防治。Objective To analyze the death trend and life loss of cerebrovascular diseases among permanent residents in Xizang Autonomous Region from 2018 to 2021,and provide the reference for the prevention and control of cerebrovascular diseases in Xizang Autonomous Region.Methods The surveillance data of death causes of cerebrovascular diseases in permanent residents of Xizang Autonomous Region from 2018 to 2021 were used to calculate the crude mortality rate,under-reporting adjusted mortality rate,standardized mortality rate,and years of life lost due to premature death(YLL)of cerebrovascular disease using the Excel 2010 software;Joinpoint 4.9.1.0 regression model was used to analyze the change trend and to calculate the average annual percent change(AAPC).Results From 2018 to 2021,the crude mortality of cerebrovascular disease in males was significantly higher than that in females of Xizang Autonomous Region(P<0.05);the standardized mortality of cerebrovascular disease in permanent residents of Xizang Autonomous Region reduced from 295.33/105 to 188.44/105,the standardized mortality of cerebrovascular disease in females decreased from 256.44/105 to 151.93/105(AAPC values were-14.42%and-15.46%,P<0.05);the standardized mortality of cerebrovascular diseases in males ranged from 243.20/105 to 344.86/105,without statistically significant trend(AAPC=-12.66%,P>0.05);the adjusted mortality rate for under-reporting of cerebrovascular diseases ranged 89.28/105-117.09/105,without statistically significant trend(P>0.05).The adjusted mortality rate for under-reporting of cerebrovascular diseases in each year increased with age(P<0.05).In≥60 years old group,the adjusted mortality rate for under-reporting of cerebrovascular diseases decreased from 1130.50/105 in 2018 to 804.65/105 in 2021(AAPC=-11.56%,P<0.05).From 2018 to 2021,the adjusted mortality rate for under-reporting of cerebrovascular diseases in agricultural and pastoral areas was higher than that in urban area(P<0.05);and the standardized mortality of cerebrovascular disea

关 键 词：脑血管疾病 寿命损失 变化趋势 

分 类 号：R743[医药卫生—神经病学与精神病学]